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Should pennies retained in the stomach be removed?

Publication: Journal of Family Practice
Publication Date: 01-SEP-03 		Format: Online - approximately 728 words
Delivery: Immediate Online Access

Article Excerpt
TO THE EDITOR:

Pennies are among the most common objects ingested, especially within the pediatric population. (1,2) Conservative management of gastric coins has been the traditional approach. Two recent studies demonstrate that post-1982 pennies within the stomach may react differently than expected. (3,4) Pennies produced before 1982 consist of 95% copper and 5% zinc; however, post-1982 pennies contain 97.6% zinc and 2.4% copper coating. We report the reaction of post-1982 pennies when placed in acid at gastric pH.

Three groups of Lincoln-head pennies were selected: 18 produced before 1982, 18 produced after 1982, and 18 post-1982 pennies damaged by rubbing the surface with emery cloth. Obviously...

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